1. Home
  2. Directory
  3. California
  4. Roseville
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY #05091
NPI 1902104722
Pharmacy in Roseville, CA

Active since March 02, 2011
1771 PLEASANT GROVE BLVD, SUITE 100, ROSEVILLE, CA 95747(916) 772-2239 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #05091 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #05091 (NPI 1902104722) is a healthcare organization registered as a pharmacy in Roseville, California and active in the NPI registry since March 2011. The organization lists Susan F Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1902104722
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGARFIELD BEACH CVS LLC
Location Address1771 PLEASANT GROVE BLVD, SUITE 100Roseville, CA 95747-8720
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(916) 772-2239
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Payer Relations · (401) 765-1500
Enumeration DateMarch 2, 2011
Last NPPES UpdateJanuary 31, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1902104722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1771 PLEASANT GROVE BLVD, Roseville, CA 95747
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #05091

Other Identifiers 3

OtherP00754218Medicare - Rr Pin
Medicaid1902104722CA
Other5640354Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
2,526 services270 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
465 services465 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
375 services375 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
327 services327 patients
Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
276 services276 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
67 services67 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05091 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05091

DMEPOS supplier · Roseville, CAOperated by Garfield Beach CVS LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #05091 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20430323
Medicare Participant SinceJanuary 1, 2019
Supplier Location1771 Pleasant Grove Blvd Ste 100Roseville, CA 95747
Phone(916) 772-2239
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY VONG PROF DENTAL CORP
Clinic/Center (Dental)
1771 PLEASANT GROVE BLVD, STE 180
ROSEVILLE, CA 95747
Placer County (916) 772-3847
MARIA THERESA DIMEN
Pharmacist
1771 PLEASANT GROVE BLVD
ROSEVILLE, CA 95747
Placer County (916) 772-2239
JASMEEN KAUR RANA
Pharmacist
1771 PLEASANT GROVE BLVD
ROSEVILLE, CA 95747
Placer County (916) 772-2239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garfield Beach CVS LLC's NPI number?

The NPI number for Garfield Beach CVS LLC is 1902104722. It was assigned to this organization in the NPPES registry on March 2, 2011. The provider is doing business as CVS Pharmacy #05091.

Where is Garfield Beach CVS LLC located?

Garfield Beach CVS LLC is located at 1771 Pleasant Grove Blvd Suite 100, Roseville, CA 95747. The listed phone number is (916) 772-2239.

What is Garfield Beach CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Garfield Beach CVS LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #05091 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Garfield Beach CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Garfield Beach CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garfield Beach CVS LLC was last updated on January 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.